Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

HCA FLORIDA WEST HOSPITAL

Pensacola, FL · CCN 100231 · Rates published

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You selected 93350 (CPT)

Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or

This hospital’s price: $2,963 across 25 payers · range $113-$10,254

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/59-1525468_HCA-FLORIDA-WEST-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

38,126 distinct procedures filed
79 distinct payers
2,621,422 rate rows
2026-07-30 last MRF observed
Data quality

2,329,050 of 2,621,422 rate rows are consumer-grade (88.8%)

292,372 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 196,483
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 32,946
per-diem day rate — not a per-procedure price 30,159
template filing: same amount across many unrelated codes — excluded 23,168
exceeds 10× this hospital's gross charge — excluded from medians 8,291
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 514
placeholder amount (≤ $0.02) — excluded from medians 348
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 306
percent-of-charges filed in the dollar field — excluded from medians 157
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hcadam.com/api/public/content/33a6895be5bf41d1889f6454136626a8?download=true
Found on page https://www.hcafloridahealthcare.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-12
Content fingerprint 23c6009021bb7c5a… · 274,035,000 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
845
OTHER 		Inj, Atidarsagene Autotem 17 $4,764.90 $4,955,500.00 $4,595,100.00 nat. median
$17,146
outlier · 268.0×
00845
OTHER 		Inj, Atidarsagene Autotem 2 $4,369,850.00 $4,505,000.00 $4,437,425.00 nat. median
$4,414,900
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 27 $3,636,171.00 $4,422,320.40 $3,783,087.00 nat. median
$3,758,972
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 27 $3,568,950.00 $4,326,000.00 $3,713,150.00 nat. median
$3,646,097
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 2 $3,562,713.00 $3,685,267.00 $3,574,708.99 nat. median
$3,574,709
1.0× median
00773
OTHER 		Inj, Beqvez, Per Tx Dose 2 $3,496,850.00 $3,605,000.00 $3,496,850.00 nat. median
$3,496,850
1.0× median
714
OTHER 		Inj Delandistrogene Mox R 27 $5,280.60 $3,993,432.00 $3,409,823.94 nat. median
$3,325,455
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 19 $9,697.57 $4,002,984.00 $3,402,536.40 nat. median
$30,329
outlier · 112.2×
748
OTHER 		Inj, Lovotibeglogene Auto 27 $8,710.34 $3,943,200.00 $3,359,935.00 nat. median
$3,252,508
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tr 2 $3,235,745.40 $3,335,820.00 $3,285,782.70 nat. median
$14,694
outlier · 223.6×
906
OTHER 		Inj Elivaldogene Autoteme 19 $6,354.69 $3,816,000.00 $3,243,600.00 nat. median
$24,952
outlier · 130.0×
00714
OTHER 		Inj Delandistrogene Mox R 2 $3,225,691.35 $3,327,860.00 $3,228,024.20 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 2 $3,154,932.76 $3,286,000.00 $3,187,420.00 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 2 $3,084,600.00 $3,180,000.00 $3,132,300.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 27 $7,736.51 $3,561,600.00 $3,034,780.00 nat. median
$2,939,969
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 2 $2,851,769.93 $2,968,000.00 $2,878,960.00 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 27 $2,364,727.86 $3,106,777.20 $2,555,816.98 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 21 $13,699.09 $4,897,200.00 $2,390,300.00 nat. median
$2,262,040
1.1× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,316,955.58 $2,588,981.00 $2,388,614.00 nat. median
$2,511,312
1.0× median
00824
OTHER 		Inj, Exagamglogene Autote 2 $2,262,040.00 $2,332,000.00 $2,297,020.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $1,656,833.00 $1,656,833.00 $1,656,833.00 nat. median
$809,217
outlier · 2.0×
2067
OTHER 		Afamitresgene Autoleucel 21 $762,913.80 $1,849,488.00 $813,004.10 nat. median
$789,886
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $598,237.50 $598,237.50 $598,237.50 nat. median
$319,951
1.9× median
9498
OTHER 		Ciltacabtagene Car-pos T 29 $521,852.17 $1,234,064.16 $579,835.74 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 29 $523,900.97 $1,189,715.73 $566,531.30 nat. median
$577,003
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 29 $521,321.72 $1,171,971.78 $563,448.73 nat. median
$562,826
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 29 $511,558.84 $1,180,622.52 $562,201.20 nat. median
$562,201
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $502,693.77 $1,218,042.30 $539,824.44 nat. median
$738,272
0.7× median
9035
OTHER 		Axicabtagene Ciloleucel C 29 $484,561.44 $1,117,603.62 $532,192.20 nat. median
$533,230
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $513,317.11 $566,531.30 $529,192.90 nat. median
$549,535
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $511,309.70 $587,649.60 $527,123.40 nat. median
$570,020
0.9× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $510,789.97 $558,081.80 $526,587.60 nat. median
$541,339
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $492,271.12 $1,263,446.58 $522,034.97 nat. median
$646,415
0.8× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $501,224.32 $562,201.20 $516,726.10 nat. median
$545,335
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 29 $455,925.10 $1,027,845.42 $492,767.53 nat. median
$492,768
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 2 $474,772.32 $532,192.20 $489,456.00 nat. median
$516,226
0.9× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 $459,839.17 $1,208,732.67 $487,504.87 nat. median
$640,950
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 4 $470,149.30 $1,199,875.72 $481,054.83 nat. median
$622,245
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 $445,599.57 $1,144,213.32 $473,568.39 nat. median
$608,101
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 $435,956.80 $1,052,317.93 $462,078.52 nat. median
$591,650
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $446,714.49 $489,450.20 $460,530.40 nat. median
$474,767
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $433,588.39 $433,588.39 $433,588.39 nat. median
$209,753
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 43 $2,701.00 $1,936,748.58 $293,745.83 nat. median
$359,358
0.8× median
831
OTHER 		Obecbtge Autol Up To 400 21 $2,930.91 $584,325.00 $285,206.25 nat. median
$23,568
outlier · 12.1×
897
OTHER 		Revakinagene, Per Implant 21 $262,350.00 $556,500.00 $278,250.00 nat. median
$25,189
outlier · 11.0×
00831
OTHER 		Obecbtge Autol Up To 400 2 $269,902.50 $278,250.00 $274,076.25 nat. median
$272,685
1.0× median
00897
OTHER 		Revakinagene, Per Implant 2 $257,050.00 $265,000.00 $261,025.00 nat. median
$259,700
1.0× median
5834
APR_DRG 		Neonate With Ecmo 22 $192,207.00 $312,391.65 $230,648.40 nat. median
$307,273
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 43 $2,837.00 $1,256,871.92 $226,834.17 nat. median
$249,124
0.9× median
886
OTHER 		Inj. Remestemcel-l-rknd/ 21 $5,526.79 $423,504.90 $206,710.72 nat. median
$201,669
1.0× median

Other procedures at this hospital

Browse this hospital's 38,126 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
845 OTHER Inj, Atidarsagene Autotem 23 17 — — $4,764.90 $4,955,500.00 $4,595,100.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 2 2 — — $4,369,850.00 $4,505,000.00 $4,437,425.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 65 27 — — $3,636,171.00 $4,422,320.40 $3,783,087.00 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 43 27 — — $3,568,950.00 $4,326,000.00 $3,713,150.00 2024-10-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 5 2 — — $3,562,713.00 $3,685,267.00 $3,574,708.99 2026-03-01
00773 OTHER Inj, Beqvez, Per Tx Dose 3 2 — — $3,496,850.00 $3,605,000.00 $3,496,850.00 2024-10-01
714 OTHER Inj Delandistrogene Mox R 68 27 — — $5,280.60 $3,993,432.00 $3,409,823.94 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 25 19 — — $9,697.57 $4,002,984.00 $3,402,536.40 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 68 27 — — $8,710.34 $3,943,200.00 $3,359,935.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 2 2 — — $3,235,745.40 $3,335,820.00 $3,285,782.70 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 25 19 — — $6,354.69 $3,816,000.00 $3,243,600.00 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 5 2 — — $3,225,691.35 $3,327,860.00 $3,228,024.20 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 5 2 — — $3,154,932.76 $3,286,000.00 $3,187,420.00 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 2 2 — — $3,084,600.00 $3,180,000.00 $3,132,300.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 68 27 — — $7,736.51 $3,561,600.00 $3,034,780.00 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 5 2 — — $2,851,769.93 $2,968,000.00 $2,878,960.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 65 27 — — $2,364,727.86 $3,106,777.20 $2,555,816.98 2026-03-01
824 OTHER Inj, Exagamglogene Autote 27 21 — — $13,699.09 $4,897,200.00 $2,390,300.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 5 2 — — $2,316,955.58 $2,588,981.00 $2,388,614.00 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 2 2 — — $2,262,040.00 $2,332,000.00 $2,297,020.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $1,656,833.00 $1,656,833.00 $1,656,833.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 26 21 — — $762,913.80 $1,849,488.00 $813,004.10 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $598,237.50 $598,237.50 $598,237.50 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 69 29 — — $521,852.17 $1,234,064.16 $579,835.74 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 69 29 — — $523,900.97 $1,189,715.73 $566,531.30 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 69 29 — — $521,321.72 $1,171,971.78 $563,448.73 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 69 29 — — $511,558.84 $1,180,622.52 $562,201.20 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 18 4 — — $502,693.77 $1,218,042.30 $539,824.44 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 69 29 — — $484,561.44 $1,117,603.62 $532,192.20 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 5 2 — — $513,317.11 $566,531.30 $529,192.90 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 5 2 — — $511,309.70 $587,649.60 $527,123.40 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 5 2 — — $510,789.97 $558,081.80 $526,587.60 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 18 4 — — $492,271.12 $1,263,446.58 $522,034.97 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 5 2 — — $501,224.32 $562,201.20 $516,726.10 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 69 29 — — $455,925.10 $1,027,845.42 $492,767.53 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 5 2 — — $474,772.32 $532,192.20 $489,456.00 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 18 4 — — $459,839.17 $1,208,732.67 $487,504.87 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 14 4 — — $470,149.30 $1,199,875.72 $481,054.83 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 18 4 — — $445,599.57 $1,144,213.32 $473,568.39 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 18 4 — — $435,956.80 $1,052,317.93 $462,078.52 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 5 2 — — $446,714.49 $489,450.20 $460,530.40 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $433,588.39 $433,588.39 $433,588.39 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 145 43 — — $2,701.00 $1,936,748.58 $293,745.83 2026-03-01
831 OTHER Obecbtge Autol Up To 400 27 21 — — $2,930.91 $584,325.00 $285,206.25 2026-03-01
897 OTHER Revakinagene, Per Implant 24 21 — — $262,350.00 $556,500.00 $278,250.00 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 2 2 — — $269,902.50 $278,250.00 $274,076.25 2026-03-01
00897 OTHER Revakinagene, Per Implant 2 2 — — $257,050.00 $265,000.00 $261,025.00 2026-03-01
5834 APR_DRG Neonate With Ecmo 51 22 — — $192,207.00 $312,391.65 $230,648.40 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 148 43 — — $2,837.00 $1,256,871.92 $226,834.17 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 27 21 — — $5,526.79 $423,504.90 $206,710.72 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 2 2 — — $195,618.93 $201,669.00 $198,643.96 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 148 41 — — $2,837.00 $1,043,115.24 $182,331.61 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 3 1 — — $178,990.51 $217,836.29 $182,033.40 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 150 43 — — $2,837.00 $951,950.22 $172,992.64 2026-03-01
1907 OTHER New Technology - Level 52 73 29 — — $145,866.50 $374,104.56 $157,653.69 2026-03-01
1908 OTHER New Technology - Level 52 73 29 — — $145,866.50 $374,104.56 $157,653.69 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 4 1 — — $156,515.70 $180,011.44 $156,515.70 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 51 22 — — $125,393.00 $191,333.91 $150,471.60 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 — — $147,693.56 $247,818.41 $150,204.40 2026-03-01
01908 OTHER New Technology - Level 52 5 2 — — $142,919.70 $153,077.00 $147,339.90 2026-03-01
01907 OTHER New Technology - Level 52 5 2 — — $142,919.70 $153,077.00 $147,339.90 2026-03-01
5833 APR_DRG Neonate With Ecmo 51 22 — — $118,611.62 $186,775.50 $144,439.72 2026-03-01
1906 OTHER New Technology - Level 51 73 29 — — $131,519.02 $337,307.52 $142,146.83 2026-03-01
1905 OTHER New Technology - Level 51 73 29 — — $131,519.02 $337,307.52 $142,146.83 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 4 1 — — $122,172.78 $140,774.65 $140,774.65 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 51 22 — — $111,047.00 $178,746.99 $133,256.40 2026-03-01
01906 OTHER New Technology - Level 51 5 2 — — $128,862.07 $138,020.20 $132,847.50 2026-03-01
01905 OTHER New Technology - Level 51 5 2 — — $128,862.07 $138,020.20 $132,847.50 2026-03-01
1903 OTHER New Technology - Level 50 73 29 — — $117,171.55 $300,510.48 $126,639.96 2026-03-01
1904 OTHER New Technology - Level 50 73 29 — — $117,171.55 $300,510.48 $126,639.96 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 1 — — $119,887.93 $153,535.48 $121,925.99 2026-03-01
01904 OTHER New Technology - Level 50 5 2 — — $114,804.45 $122,963.60 $118,355.10 2026-03-01
01903 OTHER New Technology - Level 50 5 2 — — $114,804.45 $122,963.60 $118,355.10 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 51 22 — — $97,644.00 $178,865.04 $117,172.80 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 150 43 — — $2,837.00 $621,270.66 $114,340.08 2026-03-01
1902 OTHER New Technology - Level 49 73 29 — — $102,824.07 $263,713.44 $111,133.09 2026-03-01
1901 OTHER New Technology - Level 49 73 29 — — $102,824.07 $263,713.44 $111,133.09 2026-03-01
5832 APR_DRG Neonate With Ecmo 51 22 — — $91,071.80 $143,410.50 $110,904.12 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 51 22 — — $88,926.10 $142,750.50 $110,393.72 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 78 30 — — $96,999.90 $267,607.20 $109,999.89 2026-03-01
817685 CDM Rem/repl Aicd Mult Ld 61 20 $214,024.75 $214,024.75 $14,767.71 $233,287.00 $107,012.38 2026-03-01
7 MS_DRG Lung Transplant 145 43 — — $2,837.00 $580,816.47 $106,115.96 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 51 22 — — $77,520.20 $137,205.00 $106,105.20 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 145 43 — — $2,701.00 $576,059.67 $105,376.22 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 51 22 — — $79,102.08 $135,325.50 $104,651.72 2026-03-01
825813 CDM Tavr/tavi Transaortic 62 20 $210,054.75 $210,054.75 $14,493.78 $228,959.70 $104,029.62 2026-03-01
825822 CDM Tavr/tavi Opn Ili Art 62 20 $210,054.75 $210,054.75 $14,493.78 $228,959.70 $104,029.62 2026-03-01
825812 CDM Tavr/tavi Perc Fem Aprch 62 20 $210,054.75 $210,054.75 $14,493.78 $228,959.70 $104,029.62 2026-03-01
825818 CDM Tavr Pros Valve Faa 62 20 $210,054.75 $210,054.75 $14,493.78 $228,959.70 $104,029.62 2026-03-01
806535 CDM Unl Proc Cardiac 62 20 $210,054.75 $210,054.75 $14,493.78 $228,959.70 $104,029.62 2026-03-01
825814 CDM Tavr/tavi/trans Exposure 62 20 $210,054.75 $210,054.75 $14,493.78 $228,959.70 $104,029.62 2026-03-01
825819 CDM Tavr/tavi Op Axl Art Apr 62 20 $210,054.75 $210,054.75 $14,493.78 $228,959.70 $104,029.62 2026-03-01
01902 OTHER New Technology - Level 49 5 2 — — $100,746.82 $107,906.90 $103,862.70 2026-03-01
01901 OTHER New Technology - Level 49 5 2 — — $100,746.82 $107,906.90 $103,862.70 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 4 1 — — $100,053.67 $100,394.53 $100,053.67 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 51 22 — — $82,446.00 $133,307.22 $98,935.20 2026-03-01
1585 OTHER New Technology - Level 48 73 29 — — $90,867.82 $233,049.14 $98,210.68 2026-03-01
1599 OTHER New Technology - Level 48 73 29 — — $90,867.82 $233,049.14 $98,210.68 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 51 22 — — $81,552.00 $127,428.00 $97,862.40 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 51 28 — — $2,968.00 $311,561.29 $97,823.98 2026-03-01
817684 CDM Rem/repl Aicd Dual Ld 61 20 $194,525.50 $194,525.50 $13,422.26 $212,032.80 $97,262.75 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 51 22 — — $80,942.00 $128,217.69 $97,130.40 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 78 30 — — $88,300.94 $228,194.40 $96,738.21 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 2 — — $11,430.00 $110,589.00 $96,207.00 2024-10-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 51 22 — — $79,657.00 $125,467.54 $95,588.40 2026-03-01
01599 OTHER New Technology - Level 48 5 2 — — $89,032.11 $95,359.60 $91,785.68 2026-03-01
01585 OTHER New Technology - Level 48 5 2 — — $89,032.11 $95,359.60 $91,785.68 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 148 43 — — $2,837.00 $508,231.23 $91,450.30 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 51 22 — — $75,232.00 $130,764.62 $90,278.40 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 156 45 — — $2,837.00 $487,703.39 $90,206.27 2026-03-01
817682 CDM Insrt Aicd Only Mult Ld 61 20 $180,170.00 $180,170.00 $12,431.73 $196,385.30 $90,085.00 2026-03-01
215 MS_DRG Other Heart Assist System Implant 155 46 — — $10,799.00 $465,837.57 $89,591.31 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 51 22 — — $73,540.00 $110,794.50 $88,248.00 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 152 45 — — $10,799.00 $494,300.82 $87,973.40 2026-03-01
1584 OTHER New Technology - Level 47 73 29 — — $81,302.85 $208,517.78 $87,872.78 2026-03-01
1598 OTHER New Technology - Level 47 73 29 — — $81,302.85 $208,517.78 $87,872.78 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 51 22 — — $70,159.56 $113,416.50 $87,708.76 2026-03-01
817683 CDM Rem/repl Aicd Sing Ld 61 20 $175,028.00 $175,028.00 $12,076.93 $190,780.50 $87,514.00 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 145 43 — — $2,837.00 $468,229.59 $86,772.71 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 51 22 — — $71,560.00 $109,192.05 $85,872.00 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 1 — — $84,296.07 $119,899.08 $85,729.10 2026-03-01
823254 CDM Ins Perm Subq Defib 62 20 $169,377.00 $169,377.00 $11,687.01 $184,620.95 $83,883.96 2026-03-01
5831 APR_DRG Neonate With Ecmo 51 22 — — $69,493.00 $122,622.00 $83,391.60 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 149 45 — — $28,439.73 $238,808.75 $82,879.97 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 12 4 — — $11,430.00 $124,225.00 $82,260.50 2026-03-01
01598 OTHER New Technology - Level 47 5 2 — — $79,660.37 $85,321.80 $82,124.09 2026-03-01
01584 OTHER New Technology - Level 47 5 2 — — $79,660.37 $85,321.80 $82,124.09 2026-03-01
812898 CDM Ins/repos Dual Icd+lead 61 20 $160,669.00 $160,669.00 $11,086.16 $175,129.20 $80,334.50 2026-03-01
817681 CDM Insrt Aicd Only Dual Ld 61 20 $160,669.00 $160,669.00 $11,086.16 $175,129.20 $80,334.50 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 51 22 — — $66,782.00 $100,494.24 $80,138.40 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 51 22 — — $66,329.56 $100,863.00 $79,595.47 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 3 1 — — $78,325.54 $79,657.08 $78,659.17 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 51 22 — — $40,520.04 $102,481.50 $78,569.15 2026-03-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 2 — — $58,610.00 $102,063.00 $78,054.50 2026-03-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 8 2 — — $56,474.00 $102,063.00 $78,054.50 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 3 1 — — $76,277.63 $107,454.27 $77,574.34 2026-03-01
1583 OTHER New Technology - Level 46 73 29 — — $71,737.86 $183,986.42 $77,534.85 2026-03-01
1597 OTHER New Technology - Level 46 73 29 — — $71,737.86 $183,986.42 $77,534.85 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 51 22 — — $64,392.00 $104,446.96 $77,270.40 2026-03-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 2 — — $55,557.00 $102,063.00 $77,023.00 2026-03-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 8 2 — — $57,389.00 $102,063.00 $77,023.00 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 51 22 — — $62,352.00 $97,366.79 $74,822.40 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 148 45 — — $24,971.11 $378,081.02 $74,756.06 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 156 45 — — $2,837.00 $405,030.07 $74,487.49 2026-03-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 2 — — $53,727.00 $100,416.00 $73,691.00 2026-03-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 2 — — $51,894.00 $100,416.00 $73,691.00 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 51 22 — — $61,338.00 $93,593.57 $73,605.60 2026-03-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 6 3 — — $11,430.00 $184,270.00 $73,400.50 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 12 4 — — $11,430.00 $99,130.00 $72,961.50 2026-03-01
01597 OTHER New Technology - Level 46 5 2 — — $70,288.61 $75,284.00 $72,462.48 2026-03-01
01583 OTHER New Technology - Level 46 5 2 — — $70,288.61 $75,284.00 $72,462.48 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 51 22 — — $59,125.00 $94,624.20 $70,950.00 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 152 45 — — $10,799.00 $404,080.56 $70,713.67 2026-03-01
806368 CDM Ins/repos Sgl Icd+lead 61 20 $141,169.25 $141,169.25 $9,740.68 $153,874.50 $70,584.63 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 145 45 — — $13,318.00 $376,892.49 $70,166.40 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 78 30 — — $63,895.55 $165,124.08 $70,000.86 2026-03-01
007 OTHER Lung Transplant 3 1 — — $67,580.69 $92,150.61 $68,729.56 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 1 — — $67,458.10 $81,672.63 $68,604.88 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 51 22 — — $56,946.00 $133,113.71 $68,335.20 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 145 45 — — $13,318.00 $206,936.46 $67,844.18 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 154 46 — — $10,799.00 $354,428.25 $67,364.00 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 144 45 — — $23,033.16 $202,235.44 $67,337.33 2026-03-01
1582 OTHER New Technology - Level 45 73 29 — — $62,172.87 $159,455.06 $67,196.94 2026-03-01
1596 OTHER New Technology - Level 45 73 29 — — $62,172.87 $159,455.06 $67,196.94 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 73 29 — — $56,256.30 $157,143.79 $66,786.11 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 72 29 — — $12,654.78 $134,977.06 $66,202.08 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 51 22 — — $54,849.00 $83,100.26 $65,818.80 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $64,935.92 $64,935.92 $64,935.92 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 51 22 — — $51,048.39 $83,284.50 $64,406.68 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 5 2 — — $55,119.81 $65,476.58 $63,512.28 2026-03-01
01596 OTHER New Technology - Level 45 5 2 — — $60,916.85 $65,246.20 $62,800.88 2026-03-01
01582 OTHER New Technology - Level 45 5 2 — — $60,916.85 $65,246.20 $62,800.88 2026-03-01
10 MS_DRG Pancreas Transplant 145 43 — — $2,837.00 $350,563.19 $62,740.12 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 147 44 — — $2,837.00 $348,544.93 $62,556.88 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 3 1 — — $43,764.40 $63,492.96 $62,431.63 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 18 4 — — $61,338.53 $138,190.80 $62,419.94 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 5 2 — — $61,454.13 $64,274.79 $62,346.55 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 147 44 — — $12,624.00 $319,798.44 $62,053.92 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 51 22 — — $51,234.90 $77,532.00 $61,481.88 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 51 22 — — $51,226.00 $80,695.10 $61,471.20 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 156 45 — — $2,837.00 $341,752.52 $61,271.89 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 150 45 — — $10,799.00 $323,754.21 $59,844.56 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 151 45 — — $13,318.00 $238,808.75 $59,746.31 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 51 22 — — $49,247.00 $76,852.35 $59,096.40 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 51 22 — — $48,983.00 $89,188.07 $58,779.60 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 51 22 — — $48,895.00 $105,823.65 $58,674.00 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 1 — — $57,539.16 $64,187.92 $58,517.33 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 151 45 — — $13,318.00 $238,808.75 $58,017.01 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 69 29 — — $53,860.07 $115,531.98 $57,124.32 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 51 22 — — $47,538.00 $89,188.07 $57,045.60 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 9 3 — — $53,789.99 $119,352.48 $57,017.10 2026-03-01
1595 OTHER New Technology - Level 44 73 29 — — $52,607.89 $134,923.70 $56,859.03 2026-03-01
1581 OTHER New Technology - Level 44 73 29 — — $52,607.89 $134,923.70 $56,859.03 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 146 45 — — $13,318.00 $177,434.00 $56,704.93 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 3 1 — — $55,450.54 $77,830.65 $56,393.20 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 146 44 — — $12,624.00 $218,865.31 $56,150.96 2026-03-01
64 APR_DRG Pancreas Transplant 51 22 — — $43,326.23 $72,558.00 $56,111.52 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 156 45 — — $2,837.00 $301,889.83 $55,877.56 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 51 22 — — $46,525.00 $89,188.07 $55,830.00 2026-03-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $55,323.98 $56,264.48 $55,794.23 2024-10-01
0207 RC — 40 14 — — $8,000.00 $55,706.00 $55,381.00 2026-03-01
5244 OTHER Level 4 Blood Product Exc 73 29 — — $49,801.21 $157,647.14 $55,334.68 2026-03-01
812856 CDM Ins Icd Generator 62 20 $111,549.75 $111,549.75 $7,696.93 $121,589.25 $55,245.02 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 148 41 — — $2,837.00 $321,695.59 $55,015.37 2026-03-01
818440 CDM Prc D-e Cor Revsc Ami Sl 60 19 $109,284.50 $109,284.50 $7,540.63 $119,120.10 $54,642.25 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 153 45 — — $10,799.00 $293,552.83 $54,505.93 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 51 22 — — $45,376.00 $73,729.74 $54,451.20 2026-03-01
8514 APR_DRG Gender Related Procedures 51 22 — — $40,865.02 $70,353.00 $54,406.32 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 151 46 — — $8,000.00 $136,272.48 $54,168.31 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 154 46 — — $10,799.00 $271,907.61 $54,143.10 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 51 22 — — $44,835.00 $81,160.27 $53,802.00 2026-03-01
818553 CDM Rvsc Ami Stn Thrm Sgl 63 22 $109,284.50 $109,284.50 $7,540.63 $119,120.10 $53,604.04 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 51 22 — — $44,285.71 $69,304.50 $53,595.48 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 5 2 — — $52,771.99 $55,015.23 $53,364.77 2026-03-01
01581 OTHER New Technology - Level 44 5 2 — — $51,545.10 $55,208.40 $53,139.28 2026-03-01
01595 OTHER New Technology - Level 44 5 2 — — $51,545.10 $55,208.40 $53,139.28 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $52,816.48 $52,816.48 $52,816.48 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 156 45 — — $2,837.00 $299,889.52 $52,550.50 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 149 45 — — $10,799.00 $272,356.37 $52,456.36 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 51 22 — — $43,560.00 $70,007.73 $52,272.00 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 150 46 — — $10,799.00 $177,434.00 $51,974.01 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 155 45 — — $2,701.00 $288,596.30 $51,877.54 2026-03-01
215 OTHER Other Heart Assist System Implant 3 1 — — $44,039.71 $52,328.19 $51,453.49 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 51 22 — — $42,730.78 $65,515.50 $51,276.94 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 156 45 — — $2,837.00 $278,068.21 $51,033.01 2026-03-01
813313 CDM Prostate Cryoablation 62 20 $102,707.50 $102,707.50 $7,086.82 $111,951.20 $50,865.90 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 49 28 — — $10,978.00 $177,434.00 $50,838.29 2026-03-01
B0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 10 4 — — $40,802.07 $55,880.10 $50,747.58 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 1 — — $49,806.62 $67,693.55 $50,653.33 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 4 1 — — $50,561.89 $52,091.10 $50,561.89 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 154 46 — — $10,799.00 $269,472.26 $50,549.63 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 78 30 — — $46,068.21 $119,052.96 $50,470.04 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 51 22 — — $42,035.00 $64,236.87 $50,442.00 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 147 45 — — $10,978.00 $293,830.29 $50,387.18 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 1 — — $49,529.65 $51,377.60 $50,371.66 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 51 22 — — $41,957.00 $64,905.25 $50,348.40 2026-03-01
05244 OTHER Level 4 Blood Product Exc 5 2 — — $48,795.12 $64,506.44 $50,304.25 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 154 46 — — $10,799.00 $269,836.84 $50,298.97 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 51 22 — — $41,876.00 $69,298.37 $50,251.20 2026-03-01
B0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 10 4 — — $40,383.02 $54,960.05 $50,226.38 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 51 22 — — $41,730.00 $65,165.07 $50,076.00 2026-03-01
525128 CDM Valve Tavr 29mm 49 19 $99,999.00 $99,999.00 $6,899.93 $104,998.95 $49,999.50 2026-03-01
520998 CDM Valve Tavr Sz 26mm 49 19 $99,999.00 $99,999.00 $6,899.93 $104,998.95 $49,999.50 2026-03-01
837208 CDM Valve Heart Trnscth 23mm 49 19 $99,999.00 $99,999.00 $6,899.93 $104,998.95 $49,999.50 2026-03-01
535829 CDM Valve Tavr 29mm 49 19 $99,999.00 $99,999.00 $6,899.93 $104,998.95 $49,999.50 2026-03-01
525152 CDM Valve Tavr 23mm 22 16 $99,999.00 $99,999.00 $6,899.93 $99,999.00 $49,999.50 2026-03-01
527242 CDM Stent Eprsth 8x40mm 15cm 22 16 $99,999.00 $99,999.00 $6,899.93 $99,999.00 $49,999.50 2026-03-01
535828 CDM Valve Tavr 34mm 22 16 $99,999.00 $99,999.00 $6,899.93 $99,999.00 $49,999.50 2026-03-01
525127 CDM Valve Aor 26mm 49 19 $99,999.00 $99,999.00 $6,899.93 $104,998.95 $49,999.50 2026-03-01
958870 CDM Kit Aor Vlv 14fr 29mm 49 19 $99,999.00 $99,999.00 $6,899.93 $104,998.95 $49,999.50 2026-03-01
525129 CDM Valve Tavr 23mm 49 19 $99,999.00 $99,999.00 $6,899.93 $104,998.95 $49,999.50 2026-03-01
520994 CDM Valve Tavr Sz 29mm 49 19 $99,999.00 $99,999.00 $6,899.93 $104,998.95 $49,999.50 2026-03-01
535827 CDM Valve Tavr 23mm 22 16 $99,999.00 $99,999.00 $6,899.93 $99,999.00 $49,999.50 2026-03-01
535830 CDM Valve Tavr 26mm 22 16 $99,999.00 $99,999.00 $6,899.93 $99,999.00 $49,999.50 2026-03-01
525154 CDM Valve Tavr 29mm 49 19 $99,999.00 $99,999.00 $6,899.93 $104,998.95 $49,999.50 2026-03-01
837209 CDM Valve Heart Trnscth 26mm 49 19 $99,999.00 $99,999.00 $6,899.93 $104,998.95 $49,999.50 2026-03-01
837207 CDM Valve Heart Trnscth 20mm 49 19 $99,999.00 $99,999.00 $6,899.93 $104,998.95 $49,999.50 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $49,940.67 $49,940.67 $49,940.67 2026-03-01
818441 CDM Prc D-e Cor Revsc Chrn S 60 19 $99,857.00 $99,857.00 $6,890.13 $108,844.15 $49,928.50 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 145 43 — — $2,701.00 $368,315.44 $49,889.22 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 150 46 — — $10,799.00 $267,445.03 $49,610.79 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 107 40 — — $11,098.00 $140,902.44 $49,468.53 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 154 46 — — $10,799.00 $257,003.95 $49,322.01 2026-03-01
C1605 HCPCS Pacemaker Dual Chmbr 17 13 $98,147.50 $98,147.50 $12,464.73 $98,147.50 $49,073.75 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 145 43 — — $2,701.00 $368,315.44 $48,855.69 2026-03-01
824438 CDM Thrmbc/nfs Dialysis Circ 62 20 $98,430.75 $98,430.75 $6,791.72 $107,289.50 $48,747.83 2026-03-01
B0106 HCPCS Stroke; M > 30.05 & M < 34.25 10 4 — — $38,890.57 $49,855.55 $48,140.12 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 150 46 — — $10,799.00 $177,434.00 $47,811.30 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 154 46 — — $10,799.00 $243,040.91 $47,618.22 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 156 45 — — $2,837.00 $263,036.28 $47,605.06 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 150 45 — — $10,799.00 $258,654.43 $47,557.51 2026-03-01
824556 CDM Closure Lt Atr Appendage 62 20 $95,775.75 $95,775.75 $6,608.53 $104,395.55 $47,432.94 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 149 46 — — $10,799.00 $206,936.46 $47,066.14 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 150 45 — — $10,799.00 $252,146.70 $46,973.84 2026-03-01
1580 OTHER New Technology - Level 43 73 29 — — $43,042.90 $110,392.34 $46,521.12 2026-03-01
1594 OTHER New Technology - Level 43 73 29 — — $43,042.90 $110,392.34 $46,521.12 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 51 22 — — $34,140.79 $59,817.00 $46,258.48 2026-03-01
1142 OTHER Supprelin La Implant 73 29 — — $42,753.49 $108,840.50 $46,257.21 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 51 22 — — $38,465.25 $58,359.00 $46,158.30 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 145 43 — — $2,837.00 $251,366.31 $45,985.97 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 3 1 — — $44,710.16 $60,757.59 $45,470.23 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 152 45 — — $9,780.00 $245,351.93 $45,225.17 2026-03-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 1 — — $38,646.51 $45,916.45 $45,148.93 2026-03-01
818430 CDM Ptca Coronary Sgl Artery 63 22 $91,858.00 $91,858.00 $6,338.20 $100,125.20 $45,056.34 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 150 46 — — $10,799.00 $177,434.00 $45,027.77 2026-03-01
818554 CDM Rvsc Chr Stn Thrm Sgl 69 23 $108,844.15 $108,844.15 $6,890.13 $108,844.15 $44,935.65 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 1 — — $44,039.60 $51,421.76 $44,788.28 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 148 45 — — $10,555.00 $249,644.07 $44,509.02 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 152 45 — — $9,780.00 $245,103.15 $44,457.53 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 51 22 — — $36,953.00 $66,933.09 $44,343.60 2026-03-01
C0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 10 4 — — $35,648.89 $46,489.99 $44,338.31 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 156 45 — — $2,837.00 $244,616.39 $44,265.50 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 18 4 — — $43,241.44 $94,940.24 $44,221.97 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 156 45 — — $2,837.00 $255,622.57 $44,221.39 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 149 46 — — $10,799.00 $206,936.46 $44,203.04 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 155 45 — — $2,701.00 $246,222.01 $44,093.61 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 1 — — $43,339.76 $50,239.36 $44,076.53 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 148 46 — — $10,799.00 $177,434.00 $44,024.79 2026-03-01
01142 OTHER Supprelin La Implant 5 2 — — $41,889.78 $45,350.21 $43,989.70 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 51 22 — — $34,306.45 $56,856.00 $43,968.64 2026-03-01
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